NCT06329752

Sciatic Nerve Block for Ankle and Leg Fracture Manipulation in the Emergency Department

Ultrasound-guided Sciatic Nerve Block for Distal Leg and Ankle Fracture Manipulation in the Emergency Department: A Feasibility Study

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 30 (estimated)
• Sponsor: Fondazione IRCCS Policlinico San Matteo di Pavia · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The goal of this feasibility clinical trial is to assess the acceptability of ultrasound-guided sciatic nerve block when performed at Emergency Departments for manipulation and temporary stabilization of distal leg and ankle fractures. The trial aims to assess: * The acceptability of sciatic nerve block * The technical feasibility of sciatic nerve block * The technical success of sciatic nerve block * The analgesic efficacy of sciatic nerve block In addition to that, this study aims to * Describe patient-reported and physician-reported satisfaction * Assess the Adverse Event rate at 48 hours post intervention

Conditions

• Ankle Fractures
• Leg Fracture

Interventions

Type	Name	Description
PROCEDURE	Ultrasound-guided Sciatic Nerve block (20 mL of 2% Lidocaine)	Patients will be scanned with the ultrasound machine to determine the technical feasibility of sciatic nerve blocks. If feasible, one of the following techniques will be performed a) popliteal sciatic nerve block, with either lateral or posterior approach; b) CAPS (crosswise approach to popliteal sciatic) block, with either lateral to medial or anterolateral to posteromedial approach; c) subgluteal sciatic nerve block; d) transgluteal sciatic nerve block. In all cases, 20 mL of 2% Lidocaine will be used.

Timeline

• Start date: 2024-05-01
• Primary completion: 2025-05-01
• Completion: 2025-06-01
• First posted: 2024-03-26
• Last updated: 2024-03-26

Locations

1 site across 1 country: Italy